Oconomowoc Dental Anesthesia Center
NPI #1053972661 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1053972661
- Entity Type
- Organization
- Organization Name
- Oconomowoc Dental Anesthesia Center
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 25, 2019
- Last Updated
- Jun 25, 2019
Practice Location
- Address
- 888 THACKERAY TRL STE 214
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4342
- Phone
- (262) 567-9116
Authorized Official
- Name
- HENRY HOPKINSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (321) 514-4992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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